NPI 1750809513 · live from the CMS NPI Registry
620 Chiropractic & Longevity Center, PLLC
Chiropractor in Lakeway, TX. National Provider Identifier 1750809513, active.
NPI record
| NPI | 1750809513 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1603 Ranch Road 620 N Ste 200, Lakeway, TX 78734 |
| Practice phone | 512-266-8100 |
| Enumerated | August 31, 2017 |
| Last updated | July 21, 2022 |
| Authorized official | Micah Pittman, Owner |
| Other names | 620 Chiropractic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 13544 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.